Individual
STACEY MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1550 GEORGE WASHINGTON WAY, RICHLAND, WA 99354-2602
(509) 975-0432
Mailing address
1859 SAGEWOOD LOOP, RICHLAND, WA 99352-7718
(509) 981-5516
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
NS60049955
WA
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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